Consensus-based guidelines for Video EEG monitoring in the pre-surgical evaluation of children with epilepsy in the UK

Research output: Contribution to journalArticle

View graph of relations Save citation



  • Ronit M. Pressler
  • Stefano SeriORCiD:
  • Nick Kane
  • Tim Martland
  • Sushma Goyal
  • Anand Iyer
  • Elliott Warren
  • Lesley Notghi
  • Peter Bill
  • Rachel Thornton
  • Richard Appleton
  • Sarah Doyle
  • Sarah Rushton
  • Alan Worley
  • Stewart G. Boyd
  • CESS Clinical Neurophysiology working group

Research units


PURPOSE: Paediatric Epilepsy surgery in the UK has recently been centralised in order to improve expertise and quality of service available to children. Video EEG monitoring or telemetry is a highly specialised and a crucial component of the pre-surgical evaluation. Although many Epilepsy Monitoring Units work to certain standards, there is no national or international guideline for paediatric video telemetry.

METHODS: Due to lack of evidence we used a modified Delphi process utilizing the clinical and academic expertise of the clinical neurophysiology sub-specialty group of Children's Epilepsy Surgical Service (CESS) centres in England and Wales. This process consisted of the following stages I: Identification of the consensus working group, II: Identification of key areas for guidelines, III: Consensus practice points and IV: Final review. Statements that gained consensus (median score of either 4 or 5 using a five-point Likerttype scale) were included in the guideline.

RESULTS: Two rounds of feedback and amendments were undertaken. The consensus guidelines includes the following topics: referral pathways, neurophysiological equipment standards, standards of recording techniques, with specific emphasis on safety of video EEG monitoring both with and without drug withdrawal, a protocol for testing patient's behaviours, data storage and guidelines for writing factual reports and conclusions. All statements developed received a median score of 5 and were adopted by the group.

CONCLUSION: Using a modified Delphi process we were able to develop universally-accepted video EEG guidelines for the UK CESS. Although these recommendations have been specifically developed for the pre-surgical evaluation of children with epilepsy, it is assumed that most components are transferable to any paediatric video EEG monitoring setting.



Original languageEnglish
Pages (from-to)6-11
Number of pages6
Early online date12 May 2017
Publication statusPublished - Aug 2017


  • Journal Article

Download statistics

No data available

Employable Graduates; Exploitable Research

Copy the text from this field...